DR. KATELYN MARIE MARKS (OD) – Optometrist, NPI 1417531260

DR. KATELYN MARIE MARKS (OD) is a healthcare provider. based in Fernandina beach, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5920 (FL). The NPI Number for DR. KATELYN MARIE MARKS (OD) is 1417531260

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATELYN MARIE MARKS (OD)
NPI
1417531260
Phone
(920) 896-3187
Address
3059 SEA MARSH RD
Enumeration Date
7 May 2021
Last Update Date
27 May 2021

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9042615741134
Graduation Year
2021 (5 years ago)
PAC ID
0749681633
Group Practice PAC ID
9133473325
Professional Enrollment ID
I20210629003579
Address ID
FL320343212FE6XXXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for DR. KATELYN MARIE MARKS (OD)

  • 3059 SEA MARSH RD

    FERNANDINA BEACH, FL 320345055

    Phone: (920) 896-3187

    Type: Mailing

  • 6 S 14TH ST

    FERNANDINA BEACH, FL 320343212

    Phone: (904) 261-5741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,073.

Total Amount is formed as General ($1,073) + Research ($0) + Ownership ($0) = $1,073.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($261).

Total Amount

$1,073

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,073

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210629003579IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina511501$0
92014Established patient complete exam of visual system423415$0
99213Established patient office or other outpatient visit, 20-29 minutes336258$0
92004New patient complete exam of visual system168168$0
99214Established patient office or other outpatient visit, 30-39 minutes8970$0
View full utilization report →

Insurance plans in this area (ZIP 32034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133473325View full group profile
NameSpecialtyState
O P T O M E T R YGA
-FL
O P T O M E T R YGA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YGA
O P T O M E T R YFL

Reviews

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Frequently asked questions

What number should I use to identify DR. KATELYN MARIE MARKS (OD) for billing?
Administrative and clinical systems typically use NPI 1417531260 for DR. KATELYN MARIE MARKS (OD).
Should I treat DR. KATELYN MARIE MARKS (OD) as an active provider?
Patients and plans typically see DR. KATELYN MARIE MARKS (OD) as active in the national extract.
What type of care does DR. KATELYN MARIE MARKS (OD) provide?
DR. KATELYN MARIE MARKS (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KATELYN MARIE MARKS (OD)?
DR. KATELYN MARIE MARKS (OD) is associated with Fernandina Beach, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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